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psnet.ahrq.gov/issue/how-common-mental-shortcuts-can-cause-major-physician-errors
August 15, 2018 - Newspaper/Magazine Article
How common mental shortcuts can cause major physician errors.
Citation Text:
How common mental shortcuts can cause major physician errors. Jena AB, Olenski AR. New York Times. February 20, 2020.
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psnet.ahrq.gov/issue/hazards-tied-medical-records-rush
July 26, 2011 - Newspaper/Magazine Article
Hazards tied to medical records rush.
Citation Text:
Hazards tied to medical records rush. Rowland C.
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psnet.ahrq.gov/issue/implementing-rapid-response-team
June 30, 2011 - Commentary
Implementing a rapid response team.
Citation Text:
Durkin SE. Implementing a rapid response team. Am J Nurs. 2006;106(10):50-53.
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psnet.ahrq.gov/issue/advances-patient-safety-new-directions-and-alternative-approaches
August 01, 2012 - Book/Report
Classic
Advances in Patient Safety: New Directions and Alternative Approaches.
Citation Text:
Advances in Patient Safety: New Directions and Alternative Approaches. Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publicatio…
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psnet.ahrq.gov/issue/human-error
March 06, 2005 - Book/Report
Classic
Human Error.
Citation Text:
Human Error. Reason JT. Cambridge, UK: Cambridge University Press; 1990. ISBN: 9780521306690.
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psnet.ahrq.gov/issue/special-issue-resilience-engineering-and-high-reliability-organizations
July 22, 2019 - Special or Theme Issue
Special Issue on Resilience Engineering and High Reliability Organizations.
Citation Text:
Special Issue on Resilience Engineering and High Reliability Organizations. Wears RL, Roberts KH, eds. Safety Sci. 2019;117;458-533.
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psnet.ahrq.gov/issue/patient-safety-indicators-overview
December 24, 2008 - Measurement Tool/Indicator
Classic
Patient Safety Indicators Overview.
Citation Text:
Patient Safety Indicators Overview. Agency for Healthcare Research and Quality
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psnet.ahrq.gov/issue/transparency-and-public-reporting-are-essential-safe-health-care-system
March 05, 2010 - Newspaper/Magazine Article
Transparency and public reporting are essential for a safe health care system.
Citation Text:
Transparency and public reporting are essential for a safe health care system. Leape LL. Perspect Health Reform. New York, NY: The Commonwealth Fund; March 17, 2010.
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psnet.ahrq.gov/issue/just-cup-tea-introduction-seips-framework
January 31, 2018 - Audiovisual Presentation
Just a Cup of Tea – an Introduction to the SEIPS Framework.
Citation Text:
Just a Cup of Tea – an Introduction to the SEIPS Framework. Epsom and St Helier University Hospitals. Epsom, UK: National Health Service; March 21, 2023.
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psnet.ahrq.gov/issue/medical-error
August 07, 2018 - Book/Report
Medical Error.
Citation Text:
Medical Error. National Patient Safety Agency, Medical Defence Union, Medical Protection Society. London, UK: National Patient Safety Agency; 2005.
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psnet.ahrq.gov/issue/safe-practices-reduce-cpoe-alert-fatigue-through-monitoring-analysis-and-optimization
February 17, 2021 - Book/Report
Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization.
Citation Text:
Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institut…
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psnet.ahrq.gov/issue/uneven-burden-maternal-mortality-us
November 15, 2011 - Fact Sheet/FAQs
The Uneven Burden of Maternal Mortality in the U.S.
Citation Text:
The Uneven Burden of Maternal Mortality in the U.S. NIHCM Foundation. Washington DC: National Institute for Health Care Management. August 2, 2022.
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psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-thinking-outside-checklist
January 05, 2012 - Commentary
Preventing catheter-related bloodstream infections: thinking outside the checklist.
Citation Text:
Preventing catheter-related bloodstream infections: thinking outside the checklist. Perencevich EN; Pittet D.
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psnet.ahrq.gov/issue/exploring-alternatives-malpractice-litigation
September 01, 2018 - Special or Theme Issue
Exploring Alternatives To Malpractice Litigation.
Citation Text:
Improved safety, eliminating errors top policy agenda. Health Aff (Millwood). 2014;33(1):6-66.
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psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture
December 24, 2008 - Measurement Tool/Indicator
Medical Office Survey on Patient Safety Culture.
Citation Text:
Medical Office Survey on Patient Safety Culture. Rockville, MD: Agency for Healthcare Research and Quality; June 2023.
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psnet.ahrq.gov/node/37134/psn-pdf
March 23, 2011 - Effect of crew resource management on diabetes care
and patient outcomes in an inner-city primary care clinic.
March 23, 2011
Taylor CR, Hepworth JT, Buerhaus P, et al. Effect of crew resource management on diabetes care and
patient outcomes in an inner-city primary care clinic. Qual Saf Health Care. 2007;16(4):244…
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psnet.ahrq.gov/node/47344/psn-pdf
September 11, 2018 - Quality and Safety Between Ward and Board: a Biography
of Artefacts Study.
September 11, 2018
Keen J, Nicklin E, Long A, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals
Library; 2018.
https://psnet.ahrq.gov/issue/quality-and-safety-between-ward-and-board-biography-artefacts-study
The …
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psnet.ahrq.gov/node/45564/psn-pdf
October 03, 2017 - Fostering transparency in outcomes, quality, safety, and
costs.
October 3, 2017
Austin M, McGlynn EA, Pronovost P. Fostering Transparency in Outcomes, Quality, Safety, and Costs.
JAMA. 2016;316(16):1661-1662. doi:10.1001/jama.2016.14039.
https://psnet.ahrq.gov/issue/fostering-transparency-outcomes-quality-safety-a…
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psnet.ahrq.gov/node/837732/psn-pdf
July 27, 2022 - Undiagnosed and rare diseases in critical care: the role of
diagnostic access.
July 27, 2022
Bordini BJ. Undiagnosed and rare diseases in critical care: the role of diagnostic access. Crit Care Clin.
2022;38(2):159-171. doi:10.1016/j.ccc.2021.12.002.
https://psnet.ahrq.gov/issue/undiagnosed-and-rare-diseases-criti…
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psnet.ahrq.gov/node/44055/psn-pdf
April 15, 2015 - Health Care Simulation to Advance Safety: Responding to
Ebola and Other Threats.
April 15, 2015
Rockville, MD: Agency for Healthcare Research and Quality; February 2015. AHRQ Publication No. 15-
0021.
https://psnet.ahrq.gov/issue/health-care-simulation-advance-safety-responding-ebola-and-other-threats
Simulation …